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我们应用肾心氨治疗14例慢性肾衰病人,男12例,女2例,年龄54～70岁,基本病因糖尿病12例,高血压肾动脉硬化并泌尿道梗阻1例,多囊肾1例。方法是:肾心氨持续静注,控制速度1ml/分,连续2周的11例,持续10天的1例,连续3周的2例,同时限制蛋白摄入量(高生物价蛋白<20g/日)。每例治疗前后分别查肾功能指标,包括血尿素氮,血肌酐,酚红试验,肌酐清除率,肝功能,电解质,并于治疗结束后1～2周复查血尿素氮与血肌酐值。
We use renal heart ammonia treatment of 14 patients with chronic renal failure, 12 males and 2 females, aged 54 to 70 years, the basic cause of diabetes in 12 cases, hypertensive renal arteriosclerosis and urinary tract obstruction in 1 case, 1 case of polycystic kidney disease . The method is as follows: continuous intravenous injection of renal heart ammonia, control speed of 1ml / min for 11 consecutive cases for 2 weeks, 1 for 10 days for 3 consecutive weeks in 2 cases, while limiting protein intake (high bivalent protein <20g / day). Before and after each treatment, check renal function indexes, including blood urea nitrogen, serum creatinine, phenol red test, creatinine clearance rate, liver function, electrolytes, and check blood urea nitrogen and serum creatinine value 1 to 2 weeks after treatment.